Provider Demographics
NPI:1588947964
Name:HOLLIDAYSBURG PEDIATRIC ASSOCIATION
Entity type:Organization
Organization Name:HOLLIDAYSBURG PEDIATRIC ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FEIZAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-696-0241
Mailing Address - Street 1:1720 N JUNIATA ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-1918
Mailing Address - Country:US
Mailing Address - Phone:814-696-0241
Mailing Address - Fax:
Practice Address - Street 1:1720 N JUNIATA ST
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1918
Practice Address - Country:US
Practice Address - Phone:814-696-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034492-L261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care